Farnsworth, Tiffany

Farnsworth, Tiffany is an individual health care provider with primary practice located at 4641 Fulton Dr Nw , Canton OH 44718-2384. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Addiction (Substance Use Disorder). Nursing Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Farnsworth, Tiffany can be contacted via phone (330) 433-6075.

Contact Information

Primary practice address
4641 Fulton Dr Nw Canton OH 44718-2384
Phone: (330) 433-6075
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X CNP.0029275 Ohio
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 398381 Ohio

Profile Details

NPI number 1710539051
LBN Legal business name Farnsworth, Tiffany
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2019
Last updated Sep 16th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710539051 NPPES
Ohio MEDICAID 0455901

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